Professional Documents
Culture Documents
Contents
GB
Information
Intended purpose
Indication
Contraindications
Complications
Important notes
Description
Illustration of the pump
Pump holder and pump
Attaching the pump to the pump holder
Nurse call and data interface
Giving set
Priming of the giving set
Installing the giving set in the pump
4
4
4
4
4
5
6
6
7
8
9
10
10
11
Keypad
12
18
Mains operation
Battery operation
Switch on
Insert giving set
Automatic priming using the pump
Program selection
Start
Stop
Switch off
2
18
18
18
19
19
19
19
19
19
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Administration program
Continuous feed administration
Volume/time feed administration
Bolus feed administration
Contents
20
21
23
25
Alarms
27
32
Technical information
Technical data
Operating conditions
Warranty
Inspection
Repair
Contact
Explanation of symbols
Guidance and manufacturers declaration
Ordering information
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32
33
34
34
35
36
36
36
37
38
39
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INFORMATION
Intended purpose
The APPLIX Vision is intended exclusively for enteral feeding.
It can be used with both home patients and hospital patients. It is an easy-to-use feeding
pump with the application programs: Continuous, Volume/time, Bolus.
The alarm functions ensure optimum reliability.
Indication
Only suitable for enteral feeding.
The user should refer to the operating conditions (see p. 35), in order to check that the use
of the APPLIX pump is compatible with the clinical condition of the patient, particularly on
infants and neonates.
Due to the diversity of the use conditions with a wide range of solution characteristics (density,
viscosity, quantity of dissolved gasses, rheology, particles, temperature, individualized
nutrition preparation, ...), the performance of the occlusion detection may not be granted
under all circumstances. Therefore Fresenius Kabi recommends not using the APPLIX
device without a timely and regular surveillance especially when an interruption of the
nutrition delivery may lead to a patient hazard (e.g. comatose situation).
Contraindications
Do not use for the intravenous administration of infusions.
Do not use if enteral feeding is contraindicated (e.g. ileus, uncontrolled diarrhoea, severe
acute pancreatitis or intestinal atony) or if the patient needs to be fed parenterally.
Complications
Even with pump assisted feeding, problems such as diarrhoea or a bloated feeling may arise.
The speed of administration must be adapted individually to the patient. Regular checks are
required.
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Important notes
The APPLIX Vision is intended solely for enteral feeding.
When using the pump, please note the operating conditions (see p. 35).
The function of the pump is guaranteed only if it is operated with the appropriate Fresenius
Kabi giving sets, (see ordering information on p. 43), and if the giving set is correctly installed
(see Installing the giving set in the pump p. 11). Otherwise patients may be put at risk under
certain circumstances.
The giving sets should be single use only for no longer than 24 hours as depicted by Bristish
Standard EN 1615.
The feeding tube should be flushed through before and after every administration of feed and
before, between and after the administration of individual drugs.
The APPLIX Vision may not be operated in areas where there is a risk of explosion.
The feeding pump has a BF-classification. To conform with CF requirements in a cardiac
environment where the patient has direct cardiac access, keep the pump attached on its
holder.
When changing the nutrition bag/bottle/container without changing the giving set, it is
recommended to open the door of the pump and check the right position of the set before
starting the pump again.
In case of prolonged storage of the device, check the general aspect of this one in order to
make sure it is in good condition.
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DESCRIPTION
Illustration of the pump
Giving set
Giving set
Pump door
Guide rail
Door level
Contact pins
for connecting
to pump holder
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Pump
Pump holder
The clamping
device can be
rotated 180
Screw to lock
the clamping
device
Clamping device
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Depress button to
release pump
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Cable fixing
Mains socket
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GIVING SET
Priming of the giving set
for example: APPLIX Vision Pump Set VarioLine
VarioLine adaptor
EasyBag connector
T-piece
Tube clamp
NOTE:
When priming the set manually, the steps
following step n 3 above are:
4. Open tube clamp Prime to the end of the giving set.
5. Close tube clamp
6. Install the set in the pump to start nutrition administration (see "Installing the giving set in the
pump, page 11 and starting up the pump, page 18).
Verify the flow by checking the liquid flow in the drip chamber after starting the pump.
NOTE: For giving sets without drip chamber, use only the automatic priming.
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Pump door
Clamp lever
Door lever
Giving set
correctly installed
Pump
mechanism
Lower
tube guide
(Sensor area)
Giving set
incorrectly installed
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KEYPAD
Keys
Symbol
Operation
Function
On/Off
Automatic
priming
Select
application
programs
Press key
(several times if
appropriate
Set rate
Press key
Set time
Press key
Target volume
On/Off
Press keys
simultaneously
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Keys
Symbol
Start/Stop
Operation
Function
Press key
Reset
Press keys
simultaneously
Selection of a
feeding
program and
blocking of the
two other
feeding
programs
Press key
Press key
Press key
Press key
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Keys
Cancel
blocking of
feeding
programs
Symbol
Operation
Function
Press key
Press key
Press key
Keypad lockout
Alarm volume
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Keys
Symbol
Operation
Function
Information
display
When administering
feed
1. Volume of feed
administered since the pump
was last reset.
2. Remaining volume "-" of
feed to be delivered before the
target volume is reached
(if target volume is activated).
When administering
feed
1. Volume of feed
administered since the pump
was last reset.
2. Programed target volume to
be delivered for this
application (if target volume is
activated).
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Keys
Symbol
To reset
Information
display
Operation
Function
16
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Keys
Symbol
Operation
Target volume
countdown option
Function
When programing the
administration with a target
volume, the user can choose to
display the countdown of the
programed target volume during
the administration, instead of
displaying the target volume
programed.
Press key
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1. Push the pump onto the guide rail of the holder until it clicks.
2. Plug the mains lead into the mains connector on the holder
(see page 9).
3. Connect the mains lead to the mains (the green "Mains"
indicator on the holder comes on). The "Plug" symbol
appears in the display.
Battery operation
Battery life: 24 hrs
Rate: 125 ml h
Battery is full
Battery is empty
Before starting for the first time, charge the batteries for
approx. 5 hours!
If the pump is connected to the mains, the batteries also
charge during operation. When the pump is disconnected from
the mains, it automatically switches to battery mode.
The maximum life of the batteries is only achieved after several
charge/discharge cycles. In the event of frequent mains
operation, battery life may be less. Battery indicator shows
3 bars when fully charged.
The "battery pre-alarm" will be activated when there is at least
30 minutes of battery life (or charge) remaining. If the pump is
not connected to an electrical power source to recharge
within 30 minutes, the pump will stand by and the "battery
alarm" will activate for 10 minutes. If at this time the battery is
not recharged, it will shut off.
Switch on
Press key for
approx 1 second
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Program selection
Press key
Start
Press key
Stop
Press key
Switch off
Keep depressed
for approx.
1 second
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ADMINISTRATION PROGRAM
The APPLIX Vision offers three different administration programs:
Continuous:
Volume/time:
Bolus:
Feed is administered
continuously at the
selected speed
Feed is administered
portionwise at the time
intervals selected. The
feed speed is fixed at
600 ml/h.
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Parameter
Definition of term
Setting range
Increments
Rate:
Speed of administration
1 600 ml/h
1 or 5 ml/h
Target volume if
appropriate:
1 5000 ml
1 or 10 ml
Example settings
Results
Target volume
Rate
Duration of administration
1. 1500 ml
150 ml/h
10 h
2. 600 ml
50 ml/h
12 h
Example 2
Rate (ml/h)
50
40
30
20
10
Time (h)
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3 4
7 8 9 10 11 12
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1 Switch on pump
2 Select program
3 Select rate
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The pump calculates the continuous feed rate from the specified target
volume and the administration time selected. The feed rate is shown in the
display.
Parameter
Definition of term
Setting range
Increments
Administration
time:
1 24 h
0.5 h
Target volume:
1 5000 ml
1 or 10 ml
Example settings
Results
Target volume
Duration of administration
Rate
1. 500 ml
7h
71 ml/h
2. 1500 ml
8h
188 ml/h
Example 2
Rate (ml/h)
200
150
100
50
Time (h)
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3
4
1
1 Switch on pump
2 Select program
5
Press key for 1 second.
Symbol "Feed container" flashes. Press key several times
if necessary until symbol appears
5 Start program
Press key.
Flashing bars and drops indicate the start of the program.
NOTE: After the start, the feed rate calculated will be displayed.
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Parameter
Definition of term
Setting range
Increments
Bolus dose:
1 500 ml
1 or 5 ml
Bolus interval:
1 24 h
0.5 h
1 5000 ml
1 or 10 ml
Target volume if
appropriate:
Example settings
Results
Target
volume
Bolus
dose
Bolus
interval
Number of
applications
Feed
time
Feed
pause
Total
time
1. 1000 ml
125 ml
1.0 h
13 min.
47 min.
7 h 13
2. 1500 ml
250 ml
1.5 h
25 min.
65 min.
7 h 55
600
400
200
65 min
Feed rate
(ml/h)
25 min = 250 ml
Example 2
Pause
Pause
Interval
Time (h)
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3
4
5
1
1 Switch on pump
2 Select program
6
Press key for 1 second.
Symbol "Feed container" flashes. Press key several times
if necessary until symbol appears
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ALARMS
ALARM FUNCTIONS
Every alarm function stops the pump operating. The function is indicated visually by flashing
symbols and acoustically. It is possible to vary the volume (see p. 14). The loudest setting results
in a continuous alarm.
Procedure:
Stop alarm using the START/STOP key.
Eliminate the cause of the alarm.
Restart administration using the START/STOP key.
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Alarm
Battery alarm in
mains mode
Symbol Cause
Remedy
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Alarm
Battery
pre-alarm
in battery
operation mode
Battery alarm in
battery mode
Alarm cannot be
silenced whilst in
battery mode
Symbol Cause
Remedy
Connect pump to an
electrical outlet via the pump
holder. Recharge battery and
operation of the pump can
resume.
Reminder
Signal repeated
every minute
Target volume
reached
End administration or
continue feeding. If no target
volume is desired,
deactivate target volume
function by pressing the
bottom two arrow keys twice.
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Alarm
Line empty
Occlusion
Symbol Cause
Remedy
Upstream Occlusion:
giving set is blocked
between the container and
the pump.
Downstream occlusion:
giving set or feeding tube
is blocked after the pump,
at the patient side.
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Alarm
Giving set
Pump
mechanism
blocked
System fault
"E" plus
numerical code.
Continuous tone
at intervals
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Symbol Cause
Remedy
Re-hang door.
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Pump door
Switch off pump and remove from the pump holder.
Lift the lever on the pump door to open.
If you push the pump door backwards, the door can be removed from the anchoring and can
be cleaned separately with running water.
ATTENTION! Not for use in the dishwasher.
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Sensor area
clamp fixture
Pump mechanism
Sensor area
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TECHNICAL INFORMATION
Technical data
Weight
Pump: 480 g
Pump holder: 450 g
Dimensions
128 x 114 x 43 mm
146 x 162 x 115 mm
Disposal
Protection against
electric shock
Electromagnetic
interference
Safety of ElectroMedical
Equipments
IP34 (splash-protected)
IP31 (drip-protected)
Electrical supply
Mains supply
Battery type
7.75 V / 800 mA
24 h at 125 ml/h
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Operating conditions
Pump, pump holder
Operating temperature
+13 to +40C
Storage temperature
- 20 to +45C
Attachment size
(vertical/horizontal)
Deviation of rate
Upstream occlusion
detection
Occlusion pressure
Max. 2 bar
Accessories/material
See contents
Mode
Feeding program
Page 21-24
Nurse call
Serial communication
Recycling battery
WARNING! The internal batteries should be changed every 2 years. In case of a prolonged
storage period, it is recommended that the battery is removed.
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Warranty
Pump and pump holder are guaranteed by the manufacturer for a period of 12 months from
date of delivery.
The warranty covers repair and replacement of components proven to be defective in
material or workmanship.
The warranty does not extend to units that have been altered or repaired by unauthorised
persons and malfunctions which are due to improper handling and wear.
The manufacturer can only be held responsible for the safety, reliability and performance of
the feeding pump if:
- assembly, extensions, readjustments, modifications or repair have been performed by
persons authorised by Fresenius Kabi,
- the electrical installation of the site where the pump is used complies with the requirements
of the IEC regulations,
- the pump is used as specified in the Operating Instructions,
- the pump is operated with the giving sets specified by the manufacturer.
Inspection
The recommended maintenance interval for the APPLIX Vision and the pump holder is one
year.
Repair
Pump and pump holder may only be repaired by the manufacturers Pump Maintenance
Department or persons authorised by them.
In the event of a fault, always send in the complete system (pump, pump holder and
giving set).
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Contact
UK Distributor:
Australian Distributor:
Pharmatel Fresenius Kabi Pty Ltd.
Unit 6, 6-18 Bridge Road
Hornsby NSW 2077
Australia
Tel: +61 2 9472 2222
www.pfk.com.au
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Irish Distributor:
Fresenius Kabi Ireland
Unit 3B
Fingal Bay Business Park
Balbriggan
Co. Dublin
Ireland
Tel: +353 (0) 1841-3030
Fax: +353 (0) 1849-6949
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Explanation of symbols
Attention!
See instructions for use
0123
IP 31
Drip-protected
IP 34
Splash protected
Input voltage
Output voltage
Alternating current
Mains connector
E-Code
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Compliance
obtained
by the device
RF emissions
CISPR 11
Group 1
The APPLIX pump uses RF energy only for its internal function. Therefore, its
RF emissions are very low and are not likely to cause any interference in nearby
electronic equipment.
RF emissions
CISPR 11
Class B
Harmonic
emissions
IEC 61000-3-2
Complies
Class A
The APPLIX pump is suitable for use in all establishments, including domestic
and hospital establishments and those directly connected to the public lowvoltage power supply network that supplies buildings used for domestic
purposes.
Voltage
fluctuations
Flicker emissions
IEC 61000-3-3
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Electrical fast
Transient/burst
IEC 61000-4-4
Surge
IEC 61000-4-5
Power frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
40
IEC 60601-1-2
Test level
Compliance
level obtained
by the device
6 kV contact
6 kV contact
8 kV air
8 kV air
2 kV for power
supply lines
2 kV for power
supply lines
1 kV for input
output lines
1 kV for input
output lines
1 kV
differential mode
1 kV
differential mode
2 kV
common mode
< 5% Ut
(> 95% dip in Ut)
for 0.5 cycle
< 5% Ut
(> 95% dip in Ut)
for 0.5 cycle
40% Ut
(60% dip in Ut)
for 5 cycles
40% Ut
(60% dip in Ut)
for 5 cycles
70% Ut
(30% dip in Ut)
for 25 cycles
70% Ut
(30% dip in Ut)
for 25 cycles
< 5% Ut
(> 95% dip in Ut)
for 5 s
< 5% Ut
(> 95% dip in Ut)
for 5 s
3 A/m
3 A/m
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IEC 60601-1-2
Test level
Compliance
level obtained
by the device
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to 80 MHz
3 Vrms
Radiated RF
IEC 61000-4-3
3 V/m
80 MHz to 2.5 GHz
3 V/m
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
(a) Field strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
access the electromagnetic environment due to the fixed RF transmitters, an
electromagnetic site survey should be considered.
If the measured field strength in the location in which the APPLIX pump is used
exceeds the applicable RF compliance level above, the APPLIX pump should be
observed to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as re-orienting or re-locating the
APPLIX pump or install magnetic shielding.
(b) Over the frequency range 150 kHz to 80 MHz, field strengths should be less than
3 V/m.
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0.01
0.12
0.12
0.23
0.1
0.38
0.38
0.73
1.2
1.2
2.3
10
3.8
3.8
7.3
100
12
12
23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in metres (m) can be estimated using the equation applicable to the
frequency of transmitter, where P is the maximum output power rating of the transmitter in watts
(W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
The use of accessories and cables, other than those specified, can result in increased
emissions or decreased immunity of the APPLIX pump.
The APPLIX pump should not be used adjacent to other equipment and that if
adjacent use is necessary, the APPLIX pump should be observed to verify normal
operation in the configuration in which it will be used (APPLIX pump with the holder,
a main cable, a RS232 cable or a nurse call).
NOTE 3: In order to avoid perturbations, the minimum recommended distance to maintain
between the device and a cellular phone is 10 centimeters.
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ORDERING INFORMATION
Description
References
7751811
7751081
7982071
7752341
7752321
7902011
7750501
Giving sets
APPLIX Smart/Vision Bag
APPLIX Smart/Vision Bottle
APPLIX Smart/Vision EasyBag
APPLIX Smart/Vision EasyBag with cover
APPLIX Smart/Vision VarioLine
APPLIX DuoLine mobile
7751711
7751721
7751731
7752051
7751691
7752041
Vial
reference
Information material
Technical hand book (CD-ROM)
Instructions for use
Mini reference guide
7345851
7752171
7752201
4150
200752
Fresenius Kabi AG
D-61346 Bad homburg
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